=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427521046
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SANDIFRAN PHYSICAL THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2019
-----------------------------------------------------
Last Update Date | 03/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40120 VAN DYKE AVE
-----------------------------------------------------
City | STERLING HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48313-3729
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-480-8317
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 31101 DEQUINDRE RD STE B
-----------------------------------------------------
City | MADISON HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48071-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-480-8317
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SANDI FRANCIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-965-3220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------